Botox Brow Lift

Daniel Reichner, MD answers: What is a "Botox lift" or "Botox Brow Lift"?

I thought that Botox could make your face sag more, so how is a Botox Lift even possible? How does a Botox Brow lift work?


Daniel Reichner, MD
9 months ago

The Botox Brow-Lift  is a technique that good plastic surgeons uses all the time. 
The frontalis and obicularis oculi muscles are "antagonistic muscle pairs" for eyebrow position - when one contracts the other relaxes - changing the eyebrow position.

The skill part of injecting botox is understanding the anatomy of the antagonistic muscle pairs in the face and injecting the right amount of botox in the right places to control the position of the eyebrows. I also use this concept to elevate the corners of the mouth by injecting the DAO muscle. 

I also recommend that you seek a Board Certified Plastic Surgeon for all plastic surgery on soft tissues around the eye.  This includes Botox, Juvederm, Restylane, Eyelid surgery, Browlift and other surgical procedures.  Board Certified Plastic Surgeons have 2 to 3 years of comprehensive formal plastic surgery training on the aesthetics, anatomy and function of the soft tissue, muscles and bone around the eye.

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A: Botox lift is a 'chemical brow lift'

Sanjay Grover, MD
9 months ago

Botox can be used to achieve a 'chemical brow lift'. There are antagonistic muscles in the face/brow that work in balance to adjust the brow position. If one appropriately injects the opposing muscles in the correct positions, one can achieve a 'brow lift'.  

The frontalis muscle can be injected in the forehead, but not in the area directly above the outer aspect of the brow. This will allow the frontalis muscle to raise the brow if the muscle which pulls down the brow, the orbicularis, is injected or relaxed directly under the brow.

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A: Botox Brow Lift

Harold J. Kaplan, MD
2 days ago

In the upper face, there are muscles that pull upward on the brow and those that pull downward. The key to a successful brow-lift is to relax those facial muscles that are pulling downward on the brow. In doing so, the muscles that pull upward take control and make the eyes appear more open and alive. It is a subtle technique, but when done well, can have a profound effect on helping a patient look refreshed.

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